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 Best of Five 3.125

 

   

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BOF: 3.125

A 72 year old female presents with a painful right ankle. She is known to have hypertension and this is well controlled on a thiazide diuretic. She does not smoke or drink and there has been no previous joint problems.

On examination she is febrile, the right ankle is swollen, erythematous, warm, tender and range of movement is markedly diminished.

In this patient which one of the following tests would you perform next?

a)      Joint aspiration

b)      Blood cultures

c)      Serum uric acid level

d)     MRI of the ankle

e)      X-ray of the ankle

 

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